California Paramedic Licensing
Examination (NREMT-P) Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant
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1. What is the primary action of epinephrine in anaphylactic shock?
A. Decrease blood pressure
B. Reduce histamine levels
C. Bronchodilation and vasoconstriction
D. Stimulate insulin release
Epinephrine stimulates alpha and beta receptors causing
vasoconstriction and bronchodilation, which counteracts the
symptoms of anaphylaxis.
2. A 24-year-old male is found unresponsive with snoring respirations.
What is your first action?
A. Administer oxygen via NRB
B. Open the airway using a jaw-thrust maneuver
C. Insert an oropharyngeal airway
D. Suction the airway
Airway patency is priority. Snoring indicates obstruction, often
relieved by a jaw-thrust maneuver.
,3. Which of the following is a sign of compensated shock?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Unresponsive pupil
Compensated shock is the body’s early response to maintain
perfusion; tachycardia is an early sign.
4. A patient with a spinal cord injury at C4 is most at risk for:
A. Hypoglycemia
B. Respiratory arrest
C. Seizures
D. Paralysis of lower limbs
The phrenic nerve, which controls the diaphragm, originates from
C3–C5. Damage at C4 may impair respiration.
5. What is the correct ventilation rate for an adult patient in cardiac
arrest with an advanced airway in place?
A. 20 breaths/min
B. 15 breaths/min
C. 10 breaths/min
D. 8 breaths/min
With an advanced airway, deliver 1 breath every 6 seconds without
pausing compressions.
6. Which rhythm is most appropriate for synchronized cardioversion?
A. Asystole
B. Ventricular fibrillation
C. Unstable supraventricular tachycardia
D. Pulseless ventricular tachycardia
Synchronized cardioversion is used for unstable narrow-complex
tachycardias with a pulse.
, 7. Which of the following best describes Beck's Triad?
A. Hypotension, tachycardia, and pale skin
B. Hypotension, jugular vein distension, muffled heart tones
C. Tachypnea, rales, and orthopnea
D. Chest pain, diaphoresis, and ST elevation
Beck’s Triad is associated with cardiac tamponade.
8. What is the appropriate dose of amiodarone during cardiac arrest
(VF/pulseless VT)?
A. 150 mg IV push
B. 300 mg IV push
C. 1 mg/min infusion
D. 5 mg/kg IV
Initial dose of amiodarone in cardiac arrest is 300 mg IV push.
9. Which condition is most commonly associated with Kussmaul
respirations?
A. Congestive heart failure
B. Anxiety
C. Diabetic ketoacidosis
D. Asthma
Kussmaul respirations are deep and rapid, a compensatory
mechanism in metabolic acidosis like DKA.
10. Which sign is most specific for basilar skull fracture?
A. Trismus
B. Unequal pupils
C. Battle’s sign
D. Periorbital edema
Battle’s sign (bruising behind the ear) is a late sign of basilar skull
fracture.
Examination (NREMT-P) Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant
Download Pdf
1. What is the primary action of epinephrine in anaphylactic shock?
A. Decrease blood pressure
B. Reduce histamine levels
C. Bronchodilation and vasoconstriction
D. Stimulate insulin release
Epinephrine stimulates alpha and beta receptors causing
vasoconstriction and bronchodilation, which counteracts the
symptoms of anaphylaxis.
2. A 24-year-old male is found unresponsive with snoring respirations.
What is your first action?
A. Administer oxygen via NRB
B. Open the airway using a jaw-thrust maneuver
C. Insert an oropharyngeal airway
D. Suction the airway
Airway patency is priority. Snoring indicates obstruction, often
relieved by a jaw-thrust maneuver.
,3. Which of the following is a sign of compensated shock?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Unresponsive pupil
Compensated shock is the body’s early response to maintain
perfusion; tachycardia is an early sign.
4. A patient with a spinal cord injury at C4 is most at risk for:
A. Hypoglycemia
B. Respiratory arrest
C. Seizures
D. Paralysis of lower limbs
The phrenic nerve, which controls the diaphragm, originates from
C3–C5. Damage at C4 may impair respiration.
5. What is the correct ventilation rate for an adult patient in cardiac
arrest with an advanced airway in place?
A. 20 breaths/min
B. 15 breaths/min
C. 10 breaths/min
D. 8 breaths/min
With an advanced airway, deliver 1 breath every 6 seconds without
pausing compressions.
6. Which rhythm is most appropriate for synchronized cardioversion?
A. Asystole
B. Ventricular fibrillation
C. Unstable supraventricular tachycardia
D. Pulseless ventricular tachycardia
Synchronized cardioversion is used for unstable narrow-complex
tachycardias with a pulse.
, 7. Which of the following best describes Beck's Triad?
A. Hypotension, tachycardia, and pale skin
B. Hypotension, jugular vein distension, muffled heart tones
C. Tachypnea, rales, and orthopnea
D. Chest pain, diaphoresis, and ST elevation
Beck’s Triad is associated with cardiac tamponade.
8. What is the appropriate dose of amiodarone during cardiac arrest
(VF/pulseless VT)?
A. 150 mg IV push
B. 300 mg IV push
C. 1 mg/min infusion
D. 5 mg/kg IV
Initial dose of amiodarone in cardiac arrest is 300 mg IV push.
9. Which condition is most commonly associated with Kussmaul
respirations?
A. Congestive heart failure
B. Anxiety
C. Diabetic ketoacidosis
D. Asthma
Kussmaul respirations are deep and rapid, a compensatory
mechanism in metabolic acidosis like DKA.
10. Which sign is most specific for basilar skull fracture?
A. Trismus
B. Unequal pupils
C. Battle’s sign
D. Periorbital edema
Battle’s sign (bruising behind the ear) is a late sign of basilar skull
fracture.
